1. Useful applications of growth factors for cardiovascular regenerative medicine.
- Author
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De Pascale MR, Della Mura N, Vacca M, and Napoli C
- Subjects
- Clinical Trials as Topic, Fibroblast Growth Factor-23, Fibroblast Growth Factors administration & dosage, Humans, Regenerative Medicine methods, Vascular Endothelial Growth Factor A administration & dosage, Fibroblast Growth Factors therapeutic use, Heart Failure drug therapy, Vascular Endothelial Growth Factor A therapeutic use
- Abstract
Novel advances for cardiovascular diseases (CVDs) include regenerative approaches for fibrosis, hypertrophy, and neoangiogenesis. Studies indicate that growth factor (GF) signaling could promote heart repair since most of the evidence is derived from preclinical models. Observational studies have evaluated GF serum/plasma levels as feasible biomarkers for risk stratification of CVDs. Noteworthy, two clinical interventional published studies showed that the administration of growth factors (GFs) induced beneficial effect on left ventricular ejection fraction (LVEF), myocardial perfusion, end-systolic volume index (ESVI). To date, large scale ongoing studies are in Phase I-II and mostly focussed on intramyocardial (IM), intracoronary (IC) or intravenous (IV) administration of vascular endothelial growth factor (VEGF) and fibroblast growth factor-23 (FGF-23) which result in the most investigated GFs in the last 10 years. Future data of ongoing randomized controlled studies will be crucial in understanding whether GF-based protocols could be in a concrete way effective in the clinical setting.
- Published
- 2020
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